Thursday, August 27, 2020

Nixons Impeachment essays

Nixon's Impeachment articles The president will be expelled from office for, and on conviction of, injustice, pay off, or other atrocities and wrongdoings. Was Nixon answerable for carrying out any of these impeachable wrongdoings? Indeed, He knew himself that he would have been impugned, so he chose to leave. He was liable for burglary, injustice and other atrocities. On June 17, 1972, robbery was submitted by five men who were trapped in the workplaces of the Democratic National Committee at the Watergate loft and office complex in Washington, D.C. Their capture revealed a White House-supported arrangement of spying against political adversaries and a path of contribution drove numerous authorities however it likewise prompted President Nixon himself. Furthermore, since White House was being taped and all the discussions were being recorded, Nixon was approached to turn over the tape. He rejected from the outset however later after the Supreme Court casting a ballot 8-0 he had to turn them over. On August 5, 1974, three tapes uncovered that Nixon had, on June 23, 1972, requested the Federal Bureau of Investigation to quit researching the Watergate break-in. The tapes additionally demonstrated that Nixon himself had assisted with coordinating the concealment of the organization's association in the undertaking. Association in Agents additionally found that the Nixon organization had requested huge totals of cash in unlawful battle commitments, which was utilized to back political spying and to pay more than $500,000 to the Watergate thieves. Nixon efficiently lied about his association in the split in and conceal. Also, he manhandled his forces and neglected to respect his boards summons. . Southern Democrats and Republicans inclining toward reprimand formed language that could order wide help. The votes were 27-11, 28-10, and 21-17. In the initial two votes, 6 and 7 Republicans joined every one of the 21 Democrats to frame dominant parts. On August 5 Nixon discharged a transcript uncovering his job in the concealment. After I... <!

Saturday, August 22, 2020

The heart that bleeds Latin America Now Essay Example | Topics and Well Written Essays - 1250 words

The heart that drains Latin America Now - Essay Example approach like no others in the Western Hemisphere. Sprinkled are profiles of the Argentineans Evita Peron and Che Guevara and Peruvian Mario Vargas Llosa. About portion of the book is given to a progression of hardly credible stories from Mexico, where Guillermoprieto was conceived and come back to live in the mid-1990's. These expositions showed up in The New Yorker and in The New York Review of Books somewhere in the range of 1994 and 2000. In this book, Guillermoprieto is at her best in her mental representations of Latin America's flighty politicos. Among them are Vargas Llosa, the Peruvian author who lost a presidential offer; Guevara, the symbol by which the Latin American left characterized itself, and Vicente Fox, the Mexican farmer who deposed a degenerate political machine to take the administration. Guillermoprieto clarifies why Vargas Llosa, a creator of rousing writing, bombed hopelessly in his presidential offer. Her paper about Vargas Llosa likewise opens up a window into a coldblooded topic what Guillermoprieto calls an essential attribute of Peruvians, however is a lot of a proceeding with issue of Latin America and those in the diaspora to the United States. These countries and their people groups are continually drenched in struggle over their blended blood and class. It's the profound situated clarification for the contentions and dissatisfactions of Peruvian life. In her shrewdly taken care of article on Che, it's straightforward why Guillermoprieto, with her feelings toward poor people, was attracted to Che as a topic. Here she analyzes three profound tomes, distributed in 1997, on Che. Furthermore, in doing so she rapidly brings the peruser into her age's own mind. She said Guevara was conceived in Latin America's hour of the saint. Thus a large number of our pioneers have been so degenerate, and the scope of permitted and conceivably open action has been so restricted, and foul play has shouted out so piercingly to the sky, that solitary a saint can answer the call, and just a chivalrous method of life could appear to be commendable. Guevara contrasted the aroused skyline of his time, alone and one of a kind. She sees Che's defects, however. With skyline kindled, an age of supporters were burned by their Che philosophy. In an exceptionally close to home entry, she subtleties how those offspring of Che outfitted in radical transformation would bite the dust, including an incredible companion of Guillermoprieto's mom, a writer and women's activist supervisor named Alaide Foppa. Furthermore, by blending subtleties from a book by Jon Anderson, she shows how Che, this man of the individuals, was a machista of an elitist foundation who might have his sexual route with the family house keepers. She composes that Guevara's mottos now stable stupid. What's more, she features that with work from a book by Jorge Castaneda, a political specialist who is presently Mexico's outside pastor. Castaneda's Che is a man who can't endure the regular inner conflict of the world, a universe of dim where individuals have blended devotions. As the possible leader of the Central Bank, for instance, Che was flummoxed by day-today real factors of running a legislature. Why degenerate specialists by offering them more cash to work more earnestly Given the district's history of shaky economies, the peruser thinks about whether a Latin American could be discovered today

Friday, August 21, 2020

MIT Culture Shock

MIT Culture Shock So Im back in the US, and its weird. The first thing I noticed as I stepped out of Logan International Airport Saturday night was, whoa, air can hold moisture, Id totally forgotten about that! It was quite a shock, even for someone from New Jersey, which is pretty humid as well. Its weird to realize how easily you can immerse yourself in something, and not even realize how strikingly different it is from what you consider normal until you bring the experience full circle. It wasnt until Monday morning that I realized that I hadnt seen clouds in three months. I called Adelaide and when I told her, Hey, Im about to get to Mass Ave, Im at Building 9 right now, maybe we can meet at Kresge? I realized that there was a whole segment of my vocabulary that had lain on a shelf this summer. Well, most of my vocabulary (the English vocabulary, that is) did thatso there have definitely been a few moments of searching my brain for English words hidden behind the obvious Spanish ones. Anyway, I dont really have time to sleep lately, let alone blog, but I just thought Id give a quick update to say that I made it safely back to Boston after 20 hours in transit (mostly spent reading blogger applications, and oh my God was that YouTube video question the sharpest double-edged sword of all time). Im absolutely swamped with field hockey- this week it consumes my entire day, not to mention that Im attempting to paint my room and plan for REX and all that good stuffTuesday and Wednesday nights I was asleep before 10 PM, which was glorious in a way, but just meant that I got far less sleep last night as I scrambled to put together some last minute stuff for REX and find time to read even more blogger applications. I feel like an Admissions Officer, its weird. So this is what the power feels like. Mwahaha! Thats it from me, practice starts in 20 minutes. Thankfully, as every athlete knows, Day 3 of getting back into shape is by far the most painful, so Im on the downhill now. If I can just make it through Orientation, I might be able to start sleeping again. Right.

Wednesday, May 6, 2020

Obesity Becoming A Public Concern - 1654 Words

Executive Summary Obesity has become an epidemic in American societies that has become a public concern. According to the American Obesity Association (AOA), overweight and obesity rates are higher than ever in America’s youth. Obesity is the fastest growing cause of disease in American society today. Some of the major health concerns for today’s youth with obesity include severe asthma, Diabetes, Hypertension, orthopedic complications and sleep apnea. Researchers have come up with many different causes of obesity including biological cause, psychological causes, and sociological causes. Although they have been able to come up with these causes one of the most blamed causes of obesity is the food industry. Medical researchers and other professionals have been able to produce a variety of solutions to treat and prevent obesity including Gastric bypass surgery that is available at the age of eighteen. With all the solutions present, without changing the attitudes and lifestyles of the pa rents who are buying the food for the children the epidemic will continue. Obesity is a complex health issue that has become a dangerous problem in today’s youth. According to the American Obesity Association (AOA), overweight and obesity rates are higher than ever in America’s youth. Obesity is defined as the presence of excess adipose tissue. To be considered obese, professionals use the Body Mass index (BMI) as the main source of measurement and other measurements to seeShow MoreRelatedEssay on Public School Health Care558 Words   |  3 PagesThe public school system offers several different types of health care services to students concerning issues that are a problem in 21st century schools. Two of the top concerns in public school health care concern the on topics of reproduction and obesity. With over 50 million students attending public schools, it is important to recognize and understand that school systems have a responsibility to provide health care education and services that will educate and hopefully improve the health ofRe ad MoreObesity in America Essay1285 Words   |  6 Pagesa long time, obesity has been one of the notable health concerns that America has struggled with during the last five decades .Obesity as a health concern is not limited to America alone, it is a serious concern among other affluent societies like European countries. A considerable number of Americans spend a significant amount of money trying to lose weight. Obesity become an important focus in the news items during the year 2002.According to research findings, the rate of obesity among the AmericanRead MoreComparing Views: Reasons behind the Obesity Problem Essay1676 Words   |  7 PagesI Mrs. Zewe 20 October, 2010 Obesity: To Be or Not To Be? One of the most controversial debates of this generation is on who is the blame for the obesity epidemic. More specifically, who is responsible for obesity: the individual who is obese or the government and fast food corporations? In Radley Balkos essay What You Eat Is Your Business and in David Zinczenkos essay Dont Blame the Eater, the main ideas that are presented both reflect upon obesity and personal responsibility. TheRead MoreEpidemiology : Epidemiology And Epidemiology Essay977 Words   |  4 Pagesincreased likelihood of becoming obese.1 C-section is a procedure used during high-risk pregnancies. This method of delivery is an option; however, it may be associated with negative health outcomes. The news story sheds light on the findings and illustrates a 15% increased likelihood of a child becoming obese when born by C-section instead of vaginal delivery.1 The heightened risk was primarily significant amongst siblings. The findings depict a 64% increased likelihood of beco ming obese when born byRead MoreThe Prevalence Of Obesity And Obesity1196 Words   |  5 PagesThe prevalence of obesity has increased significantly in populations worldwide. The World Health Organization (WHO) (2015) estimated that 400 million adults were considered obese worldwide and is projected to double by the year 2015. Traditionally, obesity is associated with high caloric intake and lower levels of physical activity in high income Western countries. However, low and middle income countries are increasingly becoming obese and becoming a major public health concern in regards to qualityRead MoreObesity : What Is Eating Me?1218 Words   |  5 Pages Obesity: What is Eating Me? Jonathan Griffin Introduction to Sociology Instructor: Beth Stewart March 06, 2017 Obesity in this country has reached epidemic proportions. The physical, emotional, and socio-economic effects of obesity make it a concern, because it links us to many of the maladies that are killing us. Obesity is a symptom of a more important issue, the manipulation of our food source. We have reached the point in this country where eating a balanced diet does notRead MoreChildhood Obesity : A Major Health Issue1731 Words   |  7 Pages Abstract Childhood obesity is a major health issue nationwide and globally. This has been going on for many years and childhood obesity has increased tremendously. The main problem is the difference between calorie ingestion and calories consumed. Other influences (hereditary, developmental, and environmental) can also affect obese children. Physical, emotional, and public health issues causes pain and suffering for many children. The process of obesity growth is not completely understoodRead MoreShould Not Be A Social Norm?1380 Words   |  6 PagesShould not being obesity How many obese individuals do you see a day on the street? How do you think if overweight consider be a petty group as our future social norm? There are many serious health issues in our society. Today, obesity is one of the most popular diseases in America. Being overweight is usually a warning sign that people could be on their way to becoming obesity. According to Centers for Diseases Control and Prevention report, the most recent national data shows moreRead MoreThe Public Needs to Know: Dietary Changes to School Meals1088 Words   |  4 PagesThe Public Needs to Know: Dietary Changes to School Meals Children today are in much greater danger of health issues related to poor nutrition and diet than seen in previous generations. As children continue to face the dangers of issues like obesity, more and more programs are aiming to address the issue with effectiveness. It is clear that something needs to be done in regards to helping improve the nutritional intake of school in the state and across the country. Changes to breakfast and lunchRead MoreU.s School Food Regulation For Public Schools Essay1543 Words   |  7 PagesAmerican public schools have poor nutrition, and it causes obesity in teenagers. As a former student of the American public school systems, the condition of the food has been a problem for years. Over the past two decades, obesity has been an issue in the U.S, and it is due to poor school nutrition. The public schools lack a variation in the healthy meals they contain. Inadequate nutrition can lead to an abundance of health problems. Although spending money on foo d can be expensive, the government

Tuesday, May 5, 2020

Opportunities and Challenges Related to Electronic Health

Question: Discuss about the Opportunities and Challenges Related to Electronic Health. Answer: Introduction: My health record is the new application of commonwealth Government of Australia to secure online health information of the individual. My health record system is accessible to all Australian to drawn their existing records of their information which is available in the local clinical system. The health care system wants to improve the quality of facilities provided to the patients. Individuals are able to upgrade their health record which is available online. The doctors and patient can share the health information to provide best care. The good health of the citizens is the building block of the glory and prosperity of the country. In this paper, we are going to focus the problems in the current health system and capabilities and benefits of the My health record system. From the research and survey, we analysed that the population of America are facing the problem of ageing, increased rate of chronic diseases, cost of health care, poor quality of facilities, incomplete collection of health records reports, lack of registered user, lack of clinical and system use, doctors unable to diagnose the cause of the disease, and many others. My health record system is the solution to the problems which are faced by the population of Australia. Customers and patients can do online registration into the portal to get best quality services, facilities, and care of the service providers (Foley, 2015). The health of the Australian population can be improved and managed by the implementation of my health record system. The newer system for improving health of the Australians should be comprised of the following features: A mechanism of communication to maintain flow of information between health care system and the population of Australia. The information related to the common services provided to the Australian should be notified in the patient record such as information about regular check-up, blood pressure. Diabetes or any new chronic disease. The population of Australia is participating in doing registration in the system for getting better facility of health care. The shard repository system provides the centralization to the information of patients across Australia (Denney, 2015). The doctors and patients can share information for the diagnosis of the disease. The doctor can go through the historical data of the patient for knowing the cause of illness. This techniques helps in providing better diagnose facility and the patient can get medicine at the starting stage of the disease which make him fit in the short period of time. The patient identity proof should be deposited during the registration for the interpretation and interrogation of the information (Partel, 2015). It also helps in overcoming the problem of errors occurred in saving the data. It emphasis to store right data in right account. Information access layer is the interface between the user and the stored data. Benefits: The technical security is provided to the records stored of the individual in my health record system. It prevents leakage of information related with the identity of the patient (Bowles, 2012). The population of Australia is participating in doing registration in the system for getting better facility of health care. The training module of the system built a training platform to provide best practices training to the stakeholder related to exercise or other plans for their good health. The consumer get rebate on the medical facilities. The shard repository system provides the centralization to the information of patients across Australia. The doctors and patients can share information for the diagnosis of the disease. The doctor can go through the historical data of the patient for knowing the cause of illness. The patient can get treatment at lowest cost. The implementation of this system result into the decreasing rate of chronic disease. The software works in coordination with na tional health record system to get best doctors for diagnosing the cause of disease (Herrick, 2010). Easy interface of the system attracts the consumer to become a member of the system (Morton, 2008). Public education campaign notification can be send to the consumer account. The user can update their health records and doctors prescription in their account. Performance monitoring system helps in analysing the growth of health of Australians. Conclusion: The implementation of my health record system works in the direction of improving the health of the Australians. The quality of the health care facilities provided to the consumer can be improved to high extent. The people can get treatment at lowest price. The health of the Australian population can be improved and managed by the implementation of my health record system. The good health of the Australians will result into the prosperity of the country. References: Bowles, M. (2012). Accelerating the delivery of benefits from australias investment in the national e-health system (1st ed.). Retrieved from https://myhealthrecord.gov.au/internet/mhr/publishing.nsf/Content/consultation-submissions/$FILE/069%20-%20Deloitte%20Touche%20Tohmatsu.PDF Denney, J. (2015). Opportunities and challenges related to the use of electronic health records data for research (1st ed.). Retrieved from https://www.nih.gov/sites/default/files/research-training/initiatives/pmi/opportunities-challenges-electronic-health-records.pdf Foley, E. (2015). Electronic health records and health care identifiers (1st ed.). Retrieved from https://myhealthrecord.gov.au/internet/mhr/publishing.nsf/Content/consultation-submissions/$FILE/063%20-%20Research%20Australia.PDF Herrick, D. (2010). Health information technology: Benefits and problems (1st ed.). Retrieved from https://www.ncpa.org/pdfs/st327.pdf Morton, E. (2008). Use and acceptance of an electronic health record: Factors affecting physician attitudes (1st ed.). Retrieved from https://www.google.co.in/url?sa=trct=jq=Research+paepr+pdf+on+My+health+recordsource=webcd=7cad=rjauact=8ved=0ahUKEwjpna_4zeXSAhVFmJQKHb0rAIQQFghIMAYurl=https://idea.library.drexel.edu/islandora/object/idea%253A2905/datastream/OBJ/download/Use_and_acceptance_of_an_electronic_health_record__factors_affecting_physician_attitudes.pdfusg=AFQjCNEhZQtl6pBPFoZVheM6N2B2a_Jadwbvm=bv.150120842,d.dGo Partel, K. (2015). Towards better implementation: Australias my health record (1st ed.). Retrieved from https://apo.org.au/files/Resource/deeble_institute_issues_brief_no_13_partel_toward_better_implementation_my_health_record.pdf

Monday, April 6, 2020

Looking Inside The Hollow Men Essays - Literature, Fiction

Looking Inside The Hollow Men A Look Inside The Hollow Men Eliot, a master of the written craft, carefully thought out each aspect of his 1925 poem The Hollow Men. Many differences in interpretation exist for Eliots complex poetry. One issue never debated is the extensive range of things to consider in his TS Eliots writing. Because TS Eliot often intertwined his writing by having one piece relate to another The Hollow Men is sometimes considered a mere appendage to The Waste Land. The Hollow Men, however, proves to have many offerings for a reader in and among itself. The epigraph contains two pertinent references (http). First, Mistah Kurtz he dead is an allusion to Conrads Heart of Darkness. In his novella, Conrad portrays the empty nature of men. Mistah Kurtz is a character that lacks a soul, thus, a true Hollow Man. In the second quotation the epigraph alludes to Englands November 5 tradition of Guy Fawkes Day. In 1605, Guy Fawkes unsuccessfully tried to blow up the parliament building. Eliots quote A penny for the old guy is called out by children on this holiday who are attempting to buy fireworks in order to blow up straw figures of Fawkes. Within the first stanza Eliot establishes the speaker, setting, theme and begins a rhythmic pattern that will hold true for four of the five sections of the poem. The speaker in the poem is not human, or at least prefers to be thought of as a scarecrow over a lost / Violent soul (lines 15-16). The powerful comparison between the worthlessness of rats feet over broken glass (line 9) to their dry voices (line 5) illustrates how meaningless they (the Hollow Men) truly are. Two lines detached from the first stanza contain a series of paradoxes which further the idea of meaninglessness, Shape without form, shade without color, / Paralyzed force, gesture without motion (11-12). Although difficult to discern exactly what is going on and where in the poem, the reader easily perceives the overall feeling of the hopelessness in just the opening lines, We are the hollow men / We are the stuffed men(lines 1-2) establish a grim feeling of emptiness. Images like This is the dead land / This is cac tus landUnder the twinkle of a fading star (lines 39-44) create a bleak, dry, desert land setting. The theme of the poem parallels those of Conrads Heart of Darkness (Smith). The degradation of ritual (religious or otherwise) and the emptiness or reduction of human to childish behavior is parallel concepts in both pieces. Part I of the poem describes the insignificance of the hollow men. Part I gives the vague setting and shows the request of the hollow men to be viewed as empty; Remember usnot as lost / Violent souls [which Kurtz and Fawkes both were], but only / As the hollow men (lines 15-18). It also introduces two motifs, that of eyes and kingdom. Those who have crossed / With direct eyes, to deaths other Kingdom (line 13-14) is an allusion to Dantes Paradiso (Bowler). Kingdom with a capitalized K may refer to Heaven (although all references to a kingdom do not), and those with direct eyes are allowed to go there and become blessed. Eyes in the poem refer to those of Charon in Dantes Inferno (Williamson, 157). With the line, Eyes I dare not meet in dreams (line 19) the speaker states that the eyes are a source of fear. Playing a connective role in the poem, the first two lines in the first four sections have a specific rhythm. Section Is, We are the hollow men / We are the stuffed men (lines 1-2) is like IIs Eyes I dare not meet in dreams / In deaths dream kingdom(19-20), Part IIIs This is the dead land / This is the cactus land (39-40) and IVs The eyes are not here / There are no eyes here. This language serves as a rhythmic refrain tying each section together while setting off the last. The use of literary devices in The Hollow Men is seemingly endless. Rhyme also plays and important role. In I, like all of the other parts (except the fifth) the final line of

Monday, March 9, 2020

Jungian Theories in Fifth Business Essay Example

Jungian Theories in Fifth Business Essay Example Jungian Theories in Fifth Business Essay Jungian Theories in Fifth Business Essay Jungian Theories in Fifth Business The first instalment, Fifth Business, in The Deptford Trilogy by Robertson Davies incorporates many different ideas to help the book progress as smoothly as it does. Davies interest in psychology heavily influenced many of the actions and ideas portrayed in the novel. By combining the psychology theories of the famed psychologist, Carl Jung, with creatively designed characters, Davies was able to create his finest piece of literature. Many characters in the novel are based around the ideas of Jung and among them, the main protagonist, Dunstan Ramsey, has these deas applied. The individuation of Dunstan is a continuous Journey throughout the novel as he tries to find out what he needs to do to find out who he truly is and his anima/animus characteristics that are evident progressing through the book. Individuation, as defined by Carl Jung, is the psychological process that makes a human being an individual a unique, indivisible unit or a whole man. The development of Dunstan Ramseys individuation develops as he grows older and starts to find himself. The meeting of Diana Marfleet after the First World War is the irst phase of Dunstans individuation as this was his first real relationship with a woman. As their relationship grew, however, Dunny began to reject Dian because of the fact that he felt she was more of a motherly fgure to him rather than a partner. Conversely, later in the novel, the emergence of the beautiful Faustina fills the sexual void in Dunstan that Diana could not. But one of the most important characters to the development of Dunstan is the manly bisexual Liesl. Liesl is the first and only person that truly understands Dunstan and she allows him to rediscover his body and mind. Dunstan began life with fewer weaknesses, perhaps, than other people, but the weaknesses he did have were great and limiting. He mitigated these significantly during his lifetime, for his and others benefit, means that he made real and permanent progress. Included in Jungs many other proposed psychological theories are the ideas of anima and animus. Jung suggests that in the unconscious of males one can find the expressions of a feminine inner personality, this being anima; similarly, one can find an expression of a masculine inner personality in females, animus. However, one has oth anima and animus characteristics. Dunnys anima is very present from the beginning of the novel. The guilt of the snowball hitting Mrs. Dempster stayed with Dunstan for the rest of his life. This event caused Dunstan to adopt a motherly role in that he felt the need to take care of Mary. His animus is evident when he decided to Join the army. Dunstan felt that he wasnt the man he wanted to be so in choosing to enlist made him hope that he could find who he is. Dunstan felt the need to show his masculinity by Joining the armed forces and at the point where he decided to ush the machine gun nest was the point where it showed his need for more masculinity. Dunstans wonder and desire to find ways to lift the guilt of the snowball off his shoulders is evident in his Journey to find out who he really is. Through meeting people from Mary and Paul, Boy and Leola, Liesl and Faustina, helped Dunstan in reaching individuation. And by his unique anima and animus characteristics, Dunstan was able to find out what he wanted in life and what he wanted to give to others. Both Jungian theories are connected to Dunstan Ramsey in Davies Fifth Business.

Friday, February 21, 2020

Week 3 Assignment Example | Topics and Well Written Essays - 500 words - 2

Week 3 - Assignment Example Main goal behind this article is to understand the transition between careers and particularly assessing the self-preparation, identifying the gaps and filling these gaps by developing the activities. Another source of self-preparation is the creation of unit professional program for individual development through education and training. Critical skills required for an individual build up for cyber domain include the knowledge on the computer networks, enterprise networks, cyber community, cyber command operations, cyber policies, hackers’ strengths and weaknesses, exploiting the data collection from opposite sources, kinetic military operations and new trends in emerging technologies (Conti et al., 2011). Authors do not encourage the students to adopt the cheating from adversaries. They want the students to learn creatively about the behavior of adversaries about cheating. Conti and Caroland (2011) have precisely pointed out the realm about cheating. Cheating techniques used by students in an exam present their intellectual advancement about how to use cheating means, even these are not allowed by exam laws and policies. This exercise of an exam enhanced the student capabilities to analyze the environment and benefited from weaknesses found in the system. Trust was another security principle, which is left open for exploitation of online as well as physical world. Student showed diversity of skills as they used different means of cheating in the class exam. Human beings always prove themselves as a weakest link in a given security system. Students are learnt how adversaries used cheating by violating the rules. In addition to this, students learn how their instructors provide them an environment to use the cheating in the exams. Exercise used in this article was only for one time and not for other exams or graded events. Realism and stress were increased as they occasionally walked among the students. Unfair and

Wednesday, February 5, 2020

Answering 8 questions on Marketing 301 Essay Example | Topics and Well Written Essays - 750 words

Answering 8 questions on Marketing 301 - Essay Example The basis for market segmentation is a factor that is consistent to a particular market segment. Consumer market segmentation is done on Geographic, Demographic, Psychographic, and Behavioural basis. On the other hand, Business market segmentation is done on Location, customer type and Buyer Behaviour. Q2/Ans. Production differentiation is simply an effort by firms to differentiate their products from competitors' products or their own product line. It is done to attract particular segment of market. It is a mean to highlight the differentiated aspect of your product to create its value in the eyes of customers. It is a source of competitive advantage to firms and thus helps them generate higher revenues. It works in close connection to market segmentation since with segmentation, firms identify the market segment, which they want to cater with their products, and then with product differentiation, they attract that particular market segment to the offer they have developed for them. Q3/Ans. Consumer goods are goods that are utilized directly by consumers to satisfy their needs while business goods are those goods, which are used by manufacturing, or service-providing firms to use in their value chain to produce final goods or services to the consumers. One of the many examples of consumer goods can be potato chips that are consumed directly by consumers. ... Q4/Ans. New product process is the process of offering a new product to the market. The whole starts of with Idea generation. A new product idea can be obtained from consumers, competitors, sales people, company's R&D and many other sources. Then comes the idea screening process in which unsound concepts are screened out to cater only the ideas that are feasible. Three questions are answered during the process. Will the consumer benefit from the idea Will it be profitable Will be feasible technically to work on that idea Then the process of concept developing and testing comes where the whole product mix shapes up. Then business variables are decided. For example, what will be the selling price What will be the volume of production and what will be the breakeven point Then a prototype is made and is test marketed. The technical implementation is carried out on the idea with further commercialization to promote the resulting product or service among the target market. Q5/Ans. The retailing mix constitutes of 6 Ps as compared to 4 Ps of marketing mix and they are: Product, Price, Place, Promotion, personnel and presentation. Product means what benefit firm wants to give its consumers from the product or what will be the functionality of the product. Price tells at what price the product will be sold. Place tells what will be the mode and geography of distribution of product. Promotion tells what will be the technique (advertising, public relation, sales promotion) used to promote the product. Personnel plays the key role in promotion and the presentation describes what will be the aesthetics of promotion to attract customers. Q6/Ans. A Retail life cycle

Tuesday, January 28, 2020

Nursing Care Plan for Left Knee Replacement

Nursing Care Plan for Left Knee Replacement Student Name ­Ã‚ ­Ã‚ ­Ã‚ ­Ã‚ ­Ã‚ ­Ã‚ ­Ã‚ ­Ã‚ ­Ã‚ ­Ã‚ ­Ã‚ ­Ã‚ ­Ã‚ ­Ã‚ ­Ã‚ ­Ã‚ ­Ã‚ ­Ã‚ ­Ã‚ ­Ã‚ ­Ã‚ ­Ã‚ ­Ã‚ ­Ã‚ ­Ã‚ ­Ã‚ ­Ã‚ ­Ã‚ ­Ã‚ ­Ã‚ ­Ã‚ ­Ã‚ ­Ã‚ ­Ã‚ ­: Elizabeth (Beth) Andrews Brief Patient History including medical diagnosis and summary of assessment findings: The patient is a 59 year old female, widowed, who entered the Braintree Rehabilitation Center for transitional care after left knee arthroplasty due to osteoarthritis. She has a history of COPD; obstructive sleep apnea; spinal stenosis; degenerative joint disease; depression; obesity; fibromyalgia; dyslipidemia; hypothyroidism; lymphedema; tachycardia; and idiopathic tremors. She experienced a pulmonary embolism in 2009. The total knee replacement (TKR) was conducted at Metrowest/Leonard Morse Hospital on 5/21/12. The patient was transferred to Braintree Rehabilitation Center on 5/24/12. She had difficulty emerging from anesthesia and experienced urinary retention. She subsequently emerged from anesthesia and the urinary retention resolved. A neurological consult was ordered to assess the patient’s difficulty emerging from anesthesia; no source of this difficulty was identified during examination. The consultation suggested that her lethargy might be attributable to oxycodone (patient is allergic to milnapricine and several other drugs) which the patient takes for ongoing pain and fibromyalgia. The patient has otherwise experienced good recovery with physical therapy 1-2 hours per day/5 days per week. She continues to experience edema of the left operative extremity; no thromboembolus was identified and her physician ordered an additional diuretic. Her incision was healing well with no local swelling, warmth, or exudates and the wound erythema was receding from the marking drawn around the incision. Staples remained intake. The patient is a former smoker with COPD; she quit smoking just prior to the current surgery and seems to be managing this well. She is obese and indicates that she struggles with this and is aware of the relationship of her obesity to her osteoarthritis and current procedure as well as to other current and potential diagnoses. Her past medical history is noteworthy for fibromyalgia from which the patient experiences considerable disability. She associates the onset of fibromyalgia subsequent to being involved in a physically and emotionally abusive intimate adult relationship and to self-described post traumatic stress disorder relative to childhood sexual abuse. In addition, her past medical history is noteworthy for obstructive sleep apnea; patient uses a CPAP. The patient is widowed and lives alone in Natick. She has four children who live locally and whom she indicates are very supportive. One son comes to her home everyday to cook her dinner. The patient does not cook for herself and is maintained during the day with tea until her son comes to make her dinner. The patient is very focused on understanding and accessing information about her conditions/diagnoses and treatments. When I first met her, she was reviewing information provided to her by the transitional care unit pertaining to difficulties in emerging from anesthesia and about her medications. The patient’s life appears to revolve around her illnesses and conditions; she describes herself as a multiply disabled person. She does not leave her home very much except to attend medical appointments and is highly dependent upon her family for her needs and care. The patient reports that depression is a significant factor in her life related to prior physical, emotional and sexu al abuse and to her general state of disability. The patient is noteworthy for high level of health seeking behavior and a high degree of medicalization. According to the patient, her home is outfitted with multiple assistive devices which include a CPAP, a walker, a cane, an electronic chair to take her upstairs and a bidette to help her with personal hygiene. In spite of her many disabilities, the patient is progressing well and will be discharged in about a week. Additional Nursing Diagnosis without Care Planning Specification Activity Intolerance Acute Pain Anxiety Chronic Low Self Esteem Chronic Pain Deficient Diversional Activity Depression Disturbed Body Image Disturbed Sleep Pattern Disuse Syndrome Fatigue Health Seeking Behaviors Hopelessness Imbalanced Mobility: Greater than Body Requirements Impaired Bed Mobility Impaired Comfort Impaired Communication Impaired Gas Exchange Impaired Individual Resilience Impaired Physical Mobility Impaired Social Isolation Impaired Transfer Ability Impaired Walking Ineffective Activity Planning Ineffective Breathing Pattern Ineffective Coping Post Trauma Syndrome Powerlessness Readiness for Additional Health Seeking Behavior Risk for Cardiac/Vascular Complications Risk for Caregiver Role Strain Risk for Complications of Deep Vein Thrombosis Risk for Complications of Musculoskeletal Dysfunction Risk for Constipation Risk for Falls Risk for Hypothermia Risk for Impaired Cellular Regulation Risk for Impaired Skin Integrity Risk for Ineffective Respiratory Function Risk for Infection Risk for Injury Risk for Loneliness Risk for peripheral Neurovascular Dysfunction Sedentary Lifestyle Self Care Deficit NANDA Approved Nursing Diagnosis I Impaired Physical Mobility Clients Medical Diagnosis: Osteoarthritis, degenerative joint disease, spinal stenosis, status post total left knee replacement, fibromyalgia, obstructive sleep apnea, obesity, dyslipidemia, hypothyroidism, lymphedema, tachycardia, idiopathic tremors Definition : â€Å"A limitation in independent, purposeful physical movement of the body or one or more extremities† (Ackley Ladwig, 2011, p. 548). Defining Characteristics : â€Å" Decreased reaction time; difficulty turning; engages in substitutions for movement (e.g., increased attention to other’s activity, controlling behavior, focus on pre-illness disability/activity; exertional dypsnea; gait changes, jerky movements; limited ability to perform gross motor skills; limited ability to perform fine motor skills; limited range of motion; movement-induced tremor; postural instability; slowed movement; uncoordinated movements† (Ackley Ladwig, 2011, p. 549). Related Factors â€Å"Activity intolerance; altered cellular metabolism; anxiety; body mass index above 75th age-appropriate percentile; cognitive impairment; contractures; cultural beliefs regarding age-appropriate activity; deconditioning; decreased endurance; depressive mood; decreased muscle control; decreased muscle mass; decreased muscle strength; deficient knowledge regarding value of physical activity; developmental delay; discomfort; disuse; joint stiffness; lack of environmental supports (e.g., physical or social); limited cardiovascular endurance; loss of integrity of bone structures; malnutrition; medications; musculoskeletal impairment; neuromuscular impairment; pain; prescribed movement restrictions: reluctance to initiate movement; sedentary lifestyle; sensoriperceptual impairments† (Ackley Ladwig, 2011, p. 549). â€Å"Suggested functional level classifications include the following: 0-Completely independent 1-Requires use of equipment or device 2-Requires help from another person for assistance, supervision or teaching 3-Requires help from another person and equipment device 4-Dependent (does not participate in activity)† (Ackley Ladwig, 2011, p. 549) Instructions for Student In the space below, enter the subjective and objective data gathered during your client assessment. A S S E S S M E N T Subjective Data Entry Patient reported pain of â€Å"4†related to current acute pain â€Å"4† and â€Å"6† for chronic pain at home prior to admission based on scale of from â€Å"0† to â€Å"10† Patient reported that she uses assistive devices at home: walker, cane, electronic chair for climbing stairs while seated, bidette to assist with personal care; CPAP for sleep Patient reported that she engages in little social activity when at home, going out only for medical appointments Patient reported that she often sleeps during the day and has difficulty sleeping at night Patient reported that she is frequently fatigued and that movement around the home is difficult even with assistive devices Patient reported that chronic pain is related to osteoarthritis and fibromyalgia Patient reported that she is dependent upon family member for meals Patient reported that she is able to manage some dressing and bathing, but is dependent upon bidette for some of her perianal care Patient self-reports depression, PTSD, and fibromyalgia related to past physical, emotional and sexual abuse and to current status of general disability Objective Data Entry Vital signs: Temp: Oral 97.3, HR, 105, Respirations, 20, BP: r: 121/75; L 123/79 Pulses: Radial 105, L and R pedal pulses present Height: 4 ft 11 inches Weight 259 lbs Cognition: Alert and Oriented to person place and time X3 Affect: Pleasant, conversant, but subject to inattention due to dozing during conversation Integumentary: Hair: clean, gray color, neat haircut, no lesions on scalp Nasal: moist, pink Oral: mucosa : moist, pink, tongue: moist, pink, no oral lesions. Skin Color: Pink Skin: Color: pink Temp: warm to touch Texture: smooth Moisture/Hydration: moist, turgor positive at sternum Breakdown: the only current manifestation of breakdown is skin rashes in groin area and under breasts. Operative incision is erythmetous, but erythema is receding as evidenced by line drawn around erythema. No swelling, warmth or exudate at the operative incision Respiratory: Respirations: 20, depth even and rhythm even, O2 saturation 94% at rest on room air. Observed patient fatigue upon walking a short distance from bed to bathroom, Cardiovascular:Apical Pulse: 105; Rhythm: regular; Radial pulses: left and right present Pedal Pulses: left and right present Capillary refill observed L X 5 fingers and R X 5 fingers; L X 5 toes and R X 5 toes Musculoskeletal: poor mobility. Left hand slightly weaker than right; tremors appeared in left when squeezing fingers General: Patient experiences generalized pain chronically and current acute pain at operative site. Patient used ice pack and lidocaine strips to moderate localized pain (in addition to pain medications). Patient experiences chronic sleep disturbances, in particular, chronic obstructive sleep disorder. Sleep is only moderately relieved by use of CPAP Objective evidence includes patient frequent dozing during interview. Patient is obese: weight 259 lbs/height 4 feet, 11 inches BMI 52.3 Evaluate Student Instructions: To be sure your client diagnostic statement written below is accurate you need to review the defining characteristics and related factors associated with the nursing diagnosis and see how your client data match. Do you have an accurate match or are additional data required, or does another nursing diagnosis need to be investigated? D I A G N O S I S Diagnostic Statement Nursing Diagnosis (specify) Impaired Physical Mobility (Carpenito-Moyet , 2010, p. 285) related to pain, fatigue, obesity and sleep disturbances as evidenced by patient fatigue upon walking a short distance, patient report of limited mobility, patient dozing during interview, patient pain reports of â€Å"4† and â€Å"6† on scale of from â€Å"0† to â€Å"10† , patient BMI 52.3 P L A N N I N G Desired Outcome The Client will: and Client Criteria: Reduce weight by 20% after one year compared to baseline of 259 lbs Reduce feelings of depression by 20% as measured by the PHQ-9 questionnaire after one year Improve mobility by 20% after one year compared to baseline determined by physical therapist assessment Reduce pain by 50% after one year compared to baseline of â€Å"6† on scale of from â€Å"0†toâ€Å"10† Improve feelings of self esteem and self-efficacy by patient report after one year Evaluate The desired outcome must meet criteria to be accurate. The outcome must be specific, realistic, measurable, and include a time frame for completion. Does the action verb describe the clients behavior to be evaluated? Can the outcome be used in the evaluation step of the nursing process to measure the clients response to the nursing interventions listed below? Interventions Referral to mental health counseling to identify and treat depression, issues of self-esteem and self efficacy Referral and active participation in physical therapy to improve mobility Undertake regular exercise that includes ambulation for longer distances, higher frequency and increased repetition of performing ankle pumps, gluteal sets and quadriceps sets. Use heat and cold, stretching and range of motion exercises to manage symptoms of fibromyalgia Referral to pulmonologist for sleep disturbance assessment. Referral to pain management specialist for assessment, planning and treatment related to various sources of patient pain Referral to nutritionist for assessment and planning related to nutrition and weight reduction. Set realistic goals for weight reduction, encourage patient to keep food diaries, provide patient with information about the relationship of weight management to pain reduction and mobility improvement, identify stress issues related to obesity and support systems that can help patient in weight reduction. Rationale for Selected Intervention and References Research indicates that attention to psychosocial issues and mental health counseling can have a positive impact on reduction in obesity (Yilmaz et al, 2011). Depression has been related to weight control in patients with osteoarthritis (Possley et al, 2009). Mood disorders are related to fibromyalgia (Dell, 2007). Research has shown that active participation in physical therapy is important to improved mobility post TKR (Hall, Hardwick, Reden, Pulido, Colwell, 2004). Research indicates that behaviors such as ambulation for longer distances, higher frequency and increased repetition of performing ankle pumps, gluteal sets and quadriceps sets are related to greater self-efficacy in patients who have had total joint replacement (Moon Backer, 2000). Regular exercise improves pain, physical function and contributes to weight reduction in patients with osteoarthritis (Seed, Dunican Lynch, 2009). Active physical exercise has achieved modest positive results in reduction of signs and symptoms of fibromyalgia (Turk, 2009). Research has shown that heat and cold, stretching and range of motion exercises improves symptoms of fibromyalgia ((Turk, 2009). Research has shown that sleep disturbances should be evaluated and treated as a component of treatment of fibromyalgia (Dell, 2007). Patient has pain related to many sources and may influence the patient’s approach to obesity and mobility. Pain has been related to obesity (Janke, Collins, Kozak, 2007). Realistic goals, food diaries/monitoring/ understanding of the relationship between pain and mobility, stress issues and support systems have been shown to support successful obesity self care and illness prevention (Hindle Dell, 2012). E V A L U A T I O N Evaluate Do your interventions assist in achieving the desired outcome? Do your interventions address further monitoring of the clients response to your interventions and to the achievement of the desired outcome? Are qualifiers: when, how, amount, time, and frequency used? Is the focus of the actions verb on the nurses actions and not on the client? Do your rationales provide sufficient reason and directions? What was your clients response to the interventions? (theoretic) Weight is reduced by 20% after one year (evaluation outcome 200 lbs) Feelings of depression are reduced by 20% as measured by the PHQ-9 questionnaire after one year Mobility is improved by 20% after one year compared to baseline established by physical therapist assessment Pain is reduced by 50% after one year (evaluation outcome â€Å"3† on a scale of from â€Å"0† to â€Å"10† Feelings of self esteem and self-efficacy are improved by patient report after one year References Ackley, B.J. Ladwig, G.B. (2011). Nursing diagnosis handbook-an evidence-based guide to planning care. Ninth Edition. Mosby Elsevier, St. Louis, Missouri, 2011 Carpenito-Moyet, L.J. (2010) Handbook of nursing diagnosis, 13th Edition, Used by arrangement with Wiley-Blackwell Publishing, a company of John Wiley Sons, Inc, Publisher Wolters Kluwer Health/Lippincott Williams Wilkins, Philadelphia, Baltimore, New York, London, Buenos Aires, Hong Kong, Sydney, Tokyo Dell, D.D. (2007) Getting the point about fibromyalgia. Nursing 2007, February 2007, 61-64. Retrieved from: http://web.b.ebscohost.com.mbcproxy.minlib.net/ehost/pdfviewer/pdfviewer?vid=4sid=2a85447c-cc47-4b86-8e31-250d1b9e754d%40sessionmgr111hid=114 Janke, E.A., Collins, A. Kozak, A. T. (2007) Overview of the relationship between pain and obesity: what do we know? Where do we go next? Journal of Rehabilitation Research Development, Vol 44, No 2, 245-261. Retrieved from: http://web.b.ebscohost.com.mbcproxy.minlib.net/ehost/pdfviewer/pdfviewer?vid=5sid=2a85447c-cc47-4b86-8e31-250d1b9e754d%40sessionmgr111hid=114 Hall, V.L., Hardwick, M., Reden, L., Pulido, P. Colwell, C. (2004) Unicompartmental knee arthroplasty –an overview with nursing implications. Orthopaedic Nursing, Vol 23, No 3, May/June 2004, 163-173. Retrieved from: http://web.b.ebscohost.com.mbcproxy.minlib.net/ehost/pdfviewer/pdfviewer?vid=6sid=2a85447c-cc47-4b86-8e31-250d1b9e754d%40sessionmgr111hid=114 Hindle, L. Mills, S. (2012) Obesity self-care and illness prevention. Practice Nursing, Vol 23, No 3, 130-134. Retrieved from: http://web.b.ebscohost.com.mbcproxy.minlib.net/ehost/pdfviewer/pdfviewer?vid=10sid=2a85447c-cc47-4b86-8e31-250d1b9e754d%40sessionmgr111hid=114 Moon, L.B. Backer, J. (2000) Relationships among self-efficacy, outcome expectancy, and postoperative behaviors in total joint replacement patients. Orthopaedic Nursing, 19 (2) 77-85. Retrieved from: http://web.b.ebscohost.com.mbcproxy.minlib.net/ehost/detail?vid=7sid=2a85447c-cc47-4b86-8e31-250d1b9e754d%40sessionmgr111hid=114bdata=JnNpdGU9ZWhvc3QtbGl2ZQ%3d%3d#db=rzhAN=2000051848 Possley. D. et al. (2009) Relationship between depression and functional measures in overweight and obese persons with osteoarthritis of the knee. Journal of Rehabilitation Research Development, Vol 46, No 9, 1091-1097. doi:10.1682/JRRD.2009.03.0024 Seed, S.M., Dunican, K.C., Lynch, A.M. (2009) Osteoarthritis: a review of treatment options. Geriatrics, Vol 64, No 10, 20-28. Retrieved from: http://web.b.ebscohost.com.mbcproxy.minlib.net/ehost/pdfviewer/pdfviewer?vid=9sid=2a85447c-cc47-4b86-8e31-250d1b9e754d%40sessionmgr111hid=114 Turk, D.C. (2009). Fibromyalgia syndrome: a guide for the perplexed. Psychiatric Times, 26(2), 50-54. Retrieved from: http://web.b.ebscohost.com.mbcproxy.minlib.net/ehost/detail?vid=8sid=2a85447c-cc47-4b86-8e31-250d1b9e754d%40sessionmgr111hid=114bdata=JnNpdGU9ZWhvc3QtbGl2ZQ%3d%3d#db=cin20AN=2010211647 Yilmaz, J. et al. (2011) Adopting a psychological approach to obesity. Nursing Standard, Vol 25, No 21, 42-46. http://dx.doi.org/10.7748/ns2011.01.25.21.42.c8289

Monday, January 20, 2020

Papa John’s International, Inc. Essays -- Strategic Case Analysis

Introduction Papa John’s International, Inc., is headquartered in Louisville, Kentucky it is the world’s largest pizza chain and considered paramount in the pizza industry. Papa John’s domestic pizzas are made exclusively from a proprietary blend of wheat flour, cheese made from 100% real mozzarella, fresh-packed pizza sauce made from vine-ripened tomatoes (not from concentrate) and a proprietary mix of savory spices, and a choice of high-quality meat (100% beef, pork and chicken with no fillers) and vegetable toppings. However, international ingredients vary to meet customs and tastes. (http://ir.papajohns.com/) The company operates approximately 3,400 domestic and international pizza restaurants. They have five segments of their business: domestic restaurants, domestic commissaries, domestic franchises, international operations, and variable interest entities. (Barney & Hesterly, 2010) They have company-owned restaurants in mature and developed markets, but have recently experienced a measurable decrease in their domestic franchising sales because these franchisees are not strategically located in the more heavily concentrated markets like their company owned restaurants. To further develop the Papa John franchisees, they are working on various economic systems to provide royalty and local marketing relief for struggling franchisees, by providing financing to assist existing and/or new businesses, and educating lenders and banking institutions on the Papa John’s business models and goals. Papa John’s has currently started repurchasing about 1 million shares of its common stock at an average price of $22.52 per share, the company’s board of directors recently extended a repurchase plan through the end of 2010. Papa John’s... ... end-user customers, so as to capture additional market presence. Dominos has recently changed their pizza ingredient and their pricing structure they could become a major threat to Papa John’s customer base because they have always prided themselves on using high-quality ingredients. Dominos is now making attempting to grab up some Papa John’s domestic market share. Works Cited Form 10-K Annual Report Filed Feb 24, 2009, http://ir.papajohns.com/secfiling.cfm?filingID=1104659-09-11825 (Retrieved 2/11/10) Thursday, February 11, 2010, 2:43pm EST | Modified: Thursday, February 11, 2010, 3:04pm, Papa John’s cooks up heart-shaped pizza promo http://louisville.bizjournals.com/louisville/stories/2010/02/08/daily41.html?ana=yfcpc (Retrieved 2/11/10) http://money.cnn.com/2009/09/22/news/companies/papa_johns_pizza_schnatter.fortune/index.htm (retrieved 2/12/10)

Saturday, January 11, 2020

Pathophysiology of Obesity Essay

The composition of this research paper will concentrate on the topic about the pathophysiologic condition of the disorder called obesity. Thus, this would focus in the said topic to determine the functional changes that go along with such type of disorder that is seen to have developed as one of the prominent health problem in the society. Moreover, the paper would work in rendering fundamental information that is seen essential to further understand the condition of obesity. In addition to this, this research would also deal with the key areas that are seen to be of major concern with regard to battling and preventing obesity. Nonetheless, this holds on the purpose in rendering definite and essential information about obesity. The following will be discussed: †¢ A Brief Background: Obesity †¢ Pathophysiology of Obesity †¢ Causes of Obesity †¢ Medical Treatment and Nursing Intervention At the end of the paper, in intends to render facts and information about the pathophysiology of the obesity. Likewise, the completion of this research paper is also set to provide clear and evident information with regard to the possible medical treatments and nursing interventions that could be done to be able to battle and prevent obesity. A Brief Background: Obesity It can be said that the discussions over the subject of obesity is normally overlooked as one of the major health issues that is in need of accorded attention. Normally, the society would describe obesity as a state wherein an individual with such condition is seen to be ridiculous for having such abnormal and fatty body. In a sense, obesity must be regarded as a serious condition in which it is seen to be one of the most prominent health disorders that if not properly handled it can result to numerous severe health complications in the body. In general, obesity is characterized as a chronic condition that involves excessive amount body fat (Goroll, 2006). Although body fat is necessary for storing energy, heat insulation, shock absorption, and other essential functions, the normal amount of body fat should only be between 25-30% for women and 18-23% for men (Goroll, 2006). Thus, women with excessive body fat with over 30% and for men with over 25% body fat are already considered obese (Goroll, 2006). Moreover, the obesity is also seen to be one of the escalating health conditions in the society wherein the numbers of people with such disorder are rapidly increasing (â€Å"Obesity,† n. d. ). In the United States, the obesity has already reached epidemic extent in which it is seen that one in every three Americans is obese (â€Å"Obesity,† n. d. ). Thus, obesity, as a serious health condition, is also seen to be rapidly increasing in the global society that the occurrence of obesity has practically doubled up from the year 1991 up to 1998 (â€Å"Obesity,† n. . ). Pathophysiology of Obesity With the fact that obesity is a significant health threat, the extra weight or the excessive fat is inclined to create extraordinary stress in all parts of the body (â€Å"Causes, incidence, and risk factors,† n. d. ). Thus, the occurrence of obesity normally incorporates negative developments in the body that are seen as the acquisition of serious illnesses and raises the risk of individuals to having diabetes, kidney disease, heart disease, and stroke and gallbladder disease (â€Å"Causes, incidence, and risk factors,† n. . ). Obesity also creates ill-health conditions such as high blood pressure and high cholesterol that are normally seen among the adults, which is now believed to be seen in the children that are obese (â€Å"Pathophysiology of obesity,† n. d. ). In addition to this, the obesity also increases the risk of individual to acquire certain types of cancer. Also, obese individuals are seen to be more inclined to develop osteoarthritis and sleep apnea (â€Å"Pathophysiology of obesity,† n. d. ). Likewise, the obesity or the excessive fat is often accompanied by several symptoms such as breathlessness, tiredness, back pain, sweatiness, arthritis, menstrual disorders, poor sleeping and depression (â€Å"Pathophysiology of obesity,† n. d. ). Also, obesity increases the probability of myocardial infraction and heart failure (â€Å"Pathophysiology of obesity,† n. d. ). Hence, it is seen that biggest probable impact of obesity in health, more especially with that of the elderly, is the diversity of its effects with other systems in the body (â€Å"Pathophysiology of obesity’† n. d. ). Causes of Obesity In most circumstances, the majority of medical researchers agree that a combination of excessive calorie consumption and a inactive lifestyle are seen to be the primary causes of obesity (â€Å"Obesity,† n. d. ). Thus, the increased of food consumption is normally attributed as genetic, medical or psychiatric illness (â€Å"Obesity,† n. d. ). Likewise, it is also said that the other probable causes of obesity are hereditary influences, overeating, diet high in simple carbohydrates, slow metabolism, and frequency of eating, physical inactivity, medication such as antidepressants and psychological factors such as severe emotional distress (â€Å"Obesity,† n. . ). Moreover, in the review that is done in the year 2006, it is said that the most probable factors that have contribute in the rise of obesity are seen to be the cause of insufficient sleep, endocrine disruptors, decreased rates of smoking, increased use of medication that leads to weight gain, pregnancy at a later age, intrauterine and intergenerational effects, positive natural selection of people with a higher BMI (â€Å"10 Factors in Rise of Obesity,† n. d. ). Medical Treatment and Nursing Intervention Treatment through the help of a physician is seen to be necessary in obesity, more especially during the times wherein the person’s own efforts to lose weight is not working and when it is seen essential that simultaneous medical conditions make it vital for an obese person to lose weight (â€Å"Medical Treatment for Obesity,† n. d. ). Thus, prescription of medications may seem as necessary for those having people with obesity-related health problems (â€Å"Medical Treatment for Obesity,† n. . ). In addition to this, the prescriptions of over-the-counter supplements are also considered as essential in the medical treatment of obesity that could helpful for the people in effort to lose weight (â€Å"Medical Treatment for Obesity,† n. d. ). Behavioural strategies are also used in the treatment of obesity that could help modify dietary habits and increase activity levels of obese people (â€Å"Medical Treatment for Obesity,† n. . ). Likewise, psychotherapy for eating disorders with the therapist is also seen essential in the treatment process of obesity that may also require medication (â€Å"Medical Treatment for Obesity,† n. d. ). On the other hand, it is seen evident that the other probable nursing intervention that could be done to battle obesity is having a healthy and active lifestyle through the presence of exercise. As such, the involvement through healthy exercises is indeed helpful in treatment of obesity as these activities are good in burning calories and other excess fats in the body. In addition to this, a good healthy diet is also seen as another nursing intervention for obesity in which eating healthy foods with balanced diet are essential in maintaining and achieving healthy body. Nonetheless, the modified personal discipline with regard to adverse eating habits is also seen as probable nursing intervention for obesity. Conclusion  With the above written facts and information about the pathophysiology of obesity, it is seen evident that choosing such topic in this research paper is indeed significant and helpful for the people, more especially among the individuals with such condition, as this provides factual data of the probable negative results that comes with obesity. As such, this research paper also provides factual gathering of information in battling and treating obesity. Nonetheless, it is seen evident that the issue of obesity is one of the serious health problems that are in need of proper attention.

Friday, January 3, 2020

Physical Diversity in the Workplace Essay - 1445 Words

Running head: Physical Diversity in the Workplace Physical Diversity Claim A physical disability is one type of diversity in the workplace because it can cause harassment, discrimination, and occupational hazards. Physical diversity in the Workplace . Diversity encompasses race, religion, gender, background, education, physical disabilities, and more. In life there are so many diversities that one faces. Unfortunately, the workplace is no exception especially for the employee with a physical disability. An employee with a physical disability in the workplace can be hard, but also for a co-worker and employer to accept .The employee with a physical disability may encounter discrimination, harassment, and†¦show more content†¦A motto that would benefit all employees would be the Golden Rule which is do onto others as you would have them do unto you. A physical disability can cause occupational hazards in the work place. A physical disability can cause an occupational hazard in the workplace due to no wheelchair accessible ramps. Occupational hazards in the workplace for employees with physical disabilities are sometimes difficult to acknowledge by the employer. Ramps for employees in wheelchairs may need to be installed if steps are the only entrance into the workplace. Also it may be necessary to install ramps inside the building if there are no elevators that are accessible for the employees. The reason these may be an occupational hazard is because the wheel chair may turn over when trying to maneuver steps, which could cause injuries such as broken bones. A physical disability can also cause occupational hazards in the workplace when there are no handicap accessible doors located in all work spaces. When there are no doors that have sensors, buttons, or ramps available that the disabled can use there is a risk for an occupational hazard. 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